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GPs and specialists have called for safeguards to protect the most vulnerable
patients as the NHS braces itself for its biggest shake-up in a generation.

They warn that moves to introduce greater competition from the private sector
could damage the provision of care, particularly to children and mental
health patients. There are concerns that companies will cherry-pick the
services they provide, affecting the viability of other NHS services.

In a
letter to The Times, the heads of four medical colleges say they
remain concerned that the new clinical commissioning groups “will be forced
to open services to competition against their